Why Enhanced Premium Tax Credits (APTCs) should be made permanent - Families Usa Skip to Main Content

Why Enhanced Premium Tax Credits (APTCs) should be made permanent

You can view our APTC fact sheets here.

Support for APTC Permanent Extension

  • The National Association of Insurance Commissioners (NILC) supports extending enhanced premium tax credits, and urges a decision by the end of 2024.
    Source: NILC

APTC Benefits Across Congressional Districts   

  • Review the “health care savings” of this review of Congressional Districts. 
    Source: Regional Leadership Council 
  • This interactive “2024 Affordable Care Act Marketplace Plan Selections by Congressional District” includes data for the federally facilitated marketplace, Washington, DC, and Vermont. 
    Source: Center for American Progress (CAP) 

Rural Residents Benefit 

  • Robert Wood Johnson Foundation (RWJF) finds that in the leading farm states, a significant share of residents enroll in Medicaid and in the marketplace. In farm states, about half of marketplace enrollees are rural residents. APTCs reduced marketplace enrollees’ premiums by an average of $506/month in farm states. 
    Source: RWJF  

Fewer Uninsured 

  • This brief “Who Benefits from Enhanced Premium Tax Credits in the Marketplace” estimates 7.2 million more people will receive subsidized coverage under APTCs due to the enhancements, and 4 million fewer people will be uninsured.  
    Source: Urban Institute  

Health Insurance Costs Will Rise Steeply if Premium Tax Credit Improvements Expire 

Adults Age 55–64 Often Rely on Marketplace Coverage and APTCs  

  • 5.1 million ages 55–64 enrolled in Marketplace coverage in 2024, and more will do so as Medicaid unwinding continues. Uninsured rates for older adults have dropped dramatically since Affordable Care Act (ACA) implementation. 
    Source: AARP 

Data on Marketplace Enrollment Includes APTC Receipt, Demographic Trends, and Savings for Various Income Groups and by State